Image Category: Fundamentals: Laparoscopic Appendectomy

Appendiceal mucocele

Mucocele of Appendix maybe an incidental finding in CT scans for any other reasons misinterpreted as large LN, GIST, sarcoma, etc. Laparoscopy is diagnostic and therapeutic tool.

Amyand´s hernia

Amyand´s hernia is described as the hernia containing the appendix inflamed through an inguinal hernia defect. It is a rare disease and diagnosis is usually made during the perioperative because in most cases are mistaken for incarcerated inguinal hernia.

Appendix in hernia sac

View of incarcerated appendix found in indirect sac during urgent procedure for painful incarcerated right inguinal hernia. (arrow marks the indirect sac) Claudius Amyand (1680-1740) was sergeant surgeon to George II. He performed what must have been a

Laparoscopic Appearance Of Appendix

Laparoscopic appendectomy has replaced the conventional appendectomy in a big way. The image shows an elongated and engorged appendix.

Acute Appendicitis

This is a laparoscopic view of acute appendicitis

appendicitis in a woman 27 weeks pregnant

This woman presented with appendicitis at 27 weeks gestation. The patient was turned in the right side up lateral postion to rotate the uterus away and bring the appendix anteriorly. Three ports were placed in the right flank. The procedure was done wit

Division of the base

A. Division of the appendiceal base using pretied sutures. B. Division of the base using the endoscopic stapling device.

Dividing the mesoappendix

The mesoappendix is divided serially with clips, ligatures, or other hemostatic devices. Both the endoscopic stapler and the ultrasonic scalpel may also be used for this purpose.

pretied ligature

A pretied ligature may be used to elevate a grossly inflamed appendix with minimal trauma.

Trocar placement

Trocar placement for laparoscopic appendectomy. The laparoscope is inserted through an umbilical port. A second trocar (5 or 10 mm) is placed in the suprapubic region and used to elevate the appendix. The third trocar is the working port and should be pla

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